Department of Pharmacology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.
Autonomic and Movement Disorders Unit, Neurodegenerative Diseases, Biocruces Health Research Institute, Barakaldo, Bizkaia, Spain.
Br J Pharmacol. 2020 Sep;177(17):3957-3974. doi: 10.1111/bph.15145. Epub 2020 Jul 6.
l-DOPA-induced dyskinesia (LID) is considered a major complication in the treatment of Parkinson's disease (PD). Buspirone (5-HT partial agonist) have shown promising results in the treatment of PD and LID, however no 5-HT-based treatment has been approved in PD. The present study was aimed to investigate how the substantia nigra pars reticulata (SNr) is affected by buspirone and whether it is a good target to study 5-HT antidyskinetic treatments.
Buspirone was studied using in vivo single-unit, electrocorticogram, local field potential recordings along with microdialysis and immunohistochemistry in naïve/sham, 6-hydroxydopamine (6-OHDA)-lesioned or 6-OHDA-lesioned and l-DOPA-treated (6-OHDA/l-DOPA) rats.
Local buspirone inhibited SNr neuron activity in all groups. However, systemic buspirone reduced burst activity in 6-OHDA-lesioned rats (with or without l-DOPA treatment), whereas 8-OH-DPAT, a full 5-HT agonist induced larger inhibitory effects in sham animals. Neither buspirone nor 8-OH-DPAT markedly modified the low-frequency oscillatory activity in the SNr or synchronization within the SNr with the cortex. In addition, local perfusion of buspirone increased GABA and glutamate release in the SNr of naïve and 6-OHDA-lesioned rats but no effect in 6-OHDA/l-DOPA rats. In the 6-OHDA/l-DOPA group, increased 5-HT transporter and decreased 5-HT receptor expression was found.
The effects of buspirone in SNr are influenced by dopamine loss and l-DOPA treatment. The present results suggest that the regulation of burst activity of the SNr induced by DA loss may be a good target to test new drugs for the treatment of PD and LID.
左旋多巴诱导的运动障碍(LID)被认为是治疗帕金森病(PD)的主要并发症。丁螺环酮(5-HT 部分激动剂)在治疗 PD 和 LID 方面显示出良好的效果,但尚无基于 5-HT 的治疗方法在 PD 中得到批准。本研究旨在探讨丁螺环酮如何影响黑质网状部(SNr),以及它是否是研究 5-HT 抗运动障碍治疗的一个良好靶点。
在未处理/假处理、6-羟多巴胺(6-OHDA)损伤或 6-OHDA 损伤和左旋多巴处理(6-OHDA/LDOPA)的大鼠中,使用活体单细胞、脑电图、局部场电位记录以及微透析和免疫组织化学方法研究丁螺环酮。
局部丁螺环酮抑制了所有组的 SNr 神经元活性。然而,全身丁螺环酮减少了 6-OHDA 损伤大鼠(无论是否接受 LDOPA 治疗)的爆发活动,而 8-OH-DPAT,一种完全的 5-HT 激动剂,在假处理动物中引起更大的抑制作用。丁螺环酮或 8-OH-DPAT 均未显著改变 SNr 中的低频振荡活动或 SNr 与皮层之间的同步性。此外,局部灌注丁螺环酮增加了 SNr 中 GABA 和谷氨酸的释放,而在 6-OHDA/LDOPA 大鼠中没有作用。在 6-OHDA/LDOPA 组中,发现 5-HT 转运体增加和 5-HT 受体表达减少。
丁螺环酮在 SNr 中的作用受多巴胺缺失和 LDOPA 治疗的影响。本研究结果表明,DA 缺失诱导的 SNr 爆发活动的调节可能是测试治疗 PD 和 LID 的新药的一个良好靶点。